AMY ELIZABETH BRUNDAGE CRNP
NPI 1659923142
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Amy Elizabeth Brundage Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY ELIZABETH BRUNDAGE CRNP (NPI 1659923142) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP020497) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Elizabeth Brundage Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amy Brundage's NPI number?
The NPI number for Amy Brundage is 1659923142. It was assigned to this individual provider in the NPPES registry on July 15, 2019.
Where is Amy Brundage located?
Amy Brundage practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Amy Brundage's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Amy Brundage enrolled in Medicare?
Yes. Amy Brundage is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amy Brundage was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amy Elizabeth Brundage, CRNP · NPI 1659923142
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 15, 2019.
## Identity
- **NPI:** 1659923142 (Entity type: Individual)
- **Enumerated:** July 15, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP020497 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 15, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1659923142) · Data from the CMS NPPES public registry.